Current Trends and Techniques in Pneumatic Retinopexy
Introduction Over the past few decades, the approach to treating primary rhegmatogenous retinal detachment (RRD) has undergone significant changes. Initially, scleral buckle (SB) was the standard method, followed by the occasional use of pneumatic retinopexy (PnR), and more recently, pars plana vitrectomy (PPV). This shift has primarily been driven by technological advancements rather than considerations of post-operative functional outcomes or the effectiveness of retinal reattachment.1 However, there is now a growing interest in ensuring both the integrity of reattachment and the resulting functional outcomes, spurred by the availability of multimodal imaging. The goal is not only to increase the success rate of retinal reattachment but also to optimize the reattachment process for the best possible functional results. One challenge observed with PPV is post-operative retinal displacement, also known as a low-integrity retinal attachment (LIRA)2–4. This displacement occurs due to the

